Appendix 32

AUPAGAN NATIONAL HIGH SCHOOL Fund Cluster :

Entity Name MOOE
Date : February 21, 2022

DISBURSEMENT VOUCHER DV No. : 2022-01-010

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee DISSIAH'S COPYING SERVICES
229-318-625-000
AUPAGAN NATIONAL HIGH SCHOOL
Address

Responsibility
Particulars MFO/PAP Amount
Center

Payment for Copier Printing 4,224.00

Amount Due 4,224.00

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

CHARITO M. LAZAGA, PRINCIPAL I

Printed Name, Designation and Signature of Supervisor

B. Accounting Entry:
Account Title UACS Code Debit Credit

C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Sup
proper

Signature Signature

Printed
Printed Name
Name CHARITO M. LAZAGA APRIL ANN G. BERNABE
PRINCIPAL I District Incharge - SOUTHEAST II
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ 02/21/2022 Bank Name & Account Number:
ADA No. : 79632404
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents :

92